Follow the steps to complete the Putative Father Registry form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor. This allows you to access the necessary fields for completion.
2. In the first section, you will need to provide the child's information. Enter the child's name (first, middle, last), date of birth (month/day/year), place of birth (city, county, state), and hospital of birth.
3. Next, fill in the mother's information by entering her name (first, middle, last) and maiden name.
4. Then, complete the father's information by providing their name (first, middle, last).
5. Identify the requesting agency by entering its name. If applicable, include the agency cause number and the name of the requesting agent or person, along with their title.
6. The requesting agent must sign and date the form, affirming their information is accurate. If they are a relative, specify the relationship (e.g., mother, father, brother).
7. If the requesting agent is an intermediary, check the appropriate box indicating whether they are a licensed attorney, licensed physician, or clergy of the parents. Provide their current mailing address and telephone number.
8. Once all sections are complete, review the information for accuracy and clarity, ensuring all fields are filled appropriately before submission.
9. Save the completed form, and prepare to print or share it as needed. Ensure to forward the original request to the Missouri Department of Health and Senior Services, Bureau of Vital Records.

Start filling out your Putative Father Registry form online today to ensure your claim is properly submitted.